Performance of parental history for the targeted screening of hypertension in children.

Details

Serval ID
serval:BIB_0E2331368CD6
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Performance of parental history for the targeted screening of hypertension in children.
Journal
Journal of Hypertension
Author(s)
Bloetzer C., Paccaud F., Burnier M., Bovet P., Chiolero A.
ISSN
1473-5598 (Electronic)
ISSN-L
0263-6352
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
33
Number
6
Pages
1167-1173
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
OBJECTIVES: Several guidelines recommend universal screening for hypertension in childhood and adolescence. Targeted screening to children with parental history of hypertension could be a more efficient strategy than universal screening. Therefore, we assessed the association between parental history of hypertension and hypertension in children, and estimated the sensitivity, specificity, negative, and positive predictive values of parental history of hypertension for hypertension in children.
METHODS: The present study was a school-based cross-sectional study including 5207 children aged 10-14 years from all public 6th grade classes in the Canton of Vaud, Switzerland. Children had hypertension if they had sustained elevated blood pressure over three separate visits.
RESULTS: In children, the prevalence of hypertension was 2.2%. Some 8.5% of mothers and 12.9% of fathers reported to be hypertensive. Maternal history of hypertension (odds ratio 2.0, 95% confidence interval 1.2-3.3) and paternal history of hypertension (odds ratio 2.2, 95% confidence interval 1.4-3.6) were independent risk factors for hypertension in children. Nevertheless, the sensitivity of parental history of hypertension for the identification of hypertension in children was low (from 4% for both parents' positive history up to 41% for at least one parent's positive history). Positive predictive values were also low (between 4 and 5%).
CONCLUSION: Children with hypertensive parents were at higher risk of hypertension. Nevertheless, parental history of hypertension helped only marginally to identify hypertension in offspring. Targeting screening only toward children with a parental history of hypertension may not be a substantially better strategy to identify hypertension in children compared with universal screening.
Keywords
Adolescent, Child, Cross-Sectional Studies, Female, Humans, Hypertension/diagnosis, Hypertension/epidemiology, Male, Mass Screening/methods, Odds Ratio, Patient Selection, Predictive Value of Tests, Prevalence, Risk Factors, Switzerland/epidemiology
Pubmed
Web of science
Create date
09/04/2015 15:23
Last modification date
20/08/2019 13:35
Usage data